Abstract
Objective To assess the efficacy of fluoroscopy guided L5-S1 transforaminal steroid injections for the treatment of S1 radiculopathy secondary to intervertebral disk disorder. Method 41 patients were included : prospective study (20 patients) and retrospective study (21 patients). All patients suffered from S1 radiculopathy secondary to nerve root compression by intervertebral disk material, as demonstrated by lumbar spine CT. The patients underwent 2 fluoroscopy guided L5-S1 transforaminal injections of steroid (Hydrocotancyl ® 125 mg), at 8 days interval. Results 60 % of patients showed significant improvement of their painful radiculopathy at day 8 (n:41), 60-67 % at day 30 (n:41) and 67 % at day 90 (n:18). Conclusion Fluoroscopy guided L5-S1 transforaminal injection showed good efficacy in the treatment of S1 radiculopathy.
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